Bilateral congenital choanal atresia in a preterm neonate - a rare neonatal emergency: A case report and review of literature

Congenital choanal atresia results from the developmental failure of the nasal cavity to connect posteriorly with the nasopharynx. Although congenital choanal atresia is a well-recognized developmental disorder, it is an uncommon condition with an overall incidence of approximately 1 per 10,000 live...

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Bibliographic Details
Published inMedical journal. Armed Forces India Vol. 80; no. 1; pp. 115 - 118
Main Authors Zaidi, Ayesha, Dey, Arjun Chandra, Sabra, Omar, James, Jemila
Format Journal Article
LanguageEnglish
Published India Elsevier B.V 01.01.2024
Subjects
Airway obstruction
Atresia choanae
Flexible fibreoptic endoscopy
Neonates
Transnasal repair
Neonates
Transnasal repair
Airway obstruction
Atresia choanae
Flexible fibreoptic endoscopy
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Summary:Congenital choanal atresia results from the developmental failure of the nasal cavity to connect posteriorly with the nasopharynx. Although congenital choanal atresia is a well-recognized developmental disorder, it is an uncommon condition with an overall incidence of approximately 1 per 10,000 live births. The authors aim to highlight that in very preterm neonates, early diagnosis of bilateral congenital choanal atresia needs a high index of suspicion to avoid life-threatening events. It is considered as one of the neonatal emergencies, and repair is recommended in the first few weeks of life. The authors report an uncommon presentation of a very preterm neonate born at 31 weeks of gestation, diagnosed to have bilateral congenital choanal atresia with repeated failure of a trial of extubation. A transnasal endoscopic repair was performed in the eighth week of life to relieve the life-threatening nasal obstruction.
ISSN:0377-1237
DOI:10.1016/j.mjafi.2021.09.011